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Transcript of Jersey Death Certificate

  

Death in the Parish of _St Helier_____ in the Island of Jersey

No. Date and Place
of Death		 Name and surname Sex   Age Rank or Profession Cause of death Signature, description and
residence of informant		 When
registered		 Signature of
registrar
595 10h 15m pm
the Fifth
day of
April 1864
28 Don Street		 Sarah Smith
widow of James
Roper and wife of
Charles Burrell		 Female 57
years
4
months		 ___ Asthma Louisa Le Bon
Present at the
 death
1 Tamworth Terrace		 Seventh
day of
April
1864		 Phil H Guiton
Deputy
Registrar

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